Quiz 7

Risk for imbalanced fluid volume

A nurse in a health care facility is caring for a patient who is administered milk of magnesia to control constipation. Which of the following nursing diagnoses should the care plan for this patient include?

Administer the drug after each loose bowel movement.

A nurse is caring for a patient receiving bismuth subsalicylate for the relief of diarrhea. Which of the following interventions should the nurse perform to promote an optimal response to the prescribed drug therapy?

Eat foods high in dietary fiber

A nurse is caring for a patient taking a cholestyramine drug. What instructions should the nurse give to this patient to prevent constipation?

Increased risk of myopathy

A patient is administered the HMG-CoA reductase inhibitor pravastatin to reduce the risk of coronary heart disease caused due to hyperlipidemia. The patient is also receiving amiodarone for cardiovascular problems. What effect of interaction between amiodarone and pravastatin should the nurse observe in the patient?

Withhold the next dose of the drug.

A nurse administers a polythiazide drug to a patient with renal compromise, as prescribed by the physician. The drug is known to raise the blood urea nitrogen level. What intervention should the nurse perform if this reaction is observed in the patient?

Mix the drug in 90 ml of liquid.

A nurse is caring for a patient who has been prescribed colestipol granules. What care should be taken by the nurse when administering the drug to the patient?

Risk for toxic level of benzodiazepines

A nurse is caring for a patient who is prescribed omeprazole for a duodenal ulcer. The patient is also taking benzodiazepines for the management of a seizure disorder. Which of the following should be the effect of the interaction between these two drugs?

Black discoloration of urine

A nurse is caring for a patient with constipation. The physician prescribes cascara sagrada to the patient. Which of the following effects should the nurse monitor for in the patient after administration of the drug?

Frequently monitor the patient's pulse rate and rhythm.

A nurse is caring for a patient with edema due to congestive heart failure (CHF). The physician has prescribed indapamide to the patient. The patient is also undergoing treatment with digitalis glycoside. Which of the following interventions should the nurse perform when caring for this patient?

Syncope

A nurse is caring for a patient with increased intraocular pressure. The physician prescribes urea to the patient. Which of the following adverse reactions to the drug administration should the nurse closely observe for in the patient?

Administer the drug with adequate fluid intake.

A nurse is caring for a patient with intestinal stenosis who has been prescribed psyllium. During the course of the treatment, the patient shows the signs of colon obstruction. What intervention should the nurse perform to avoid the occurrence of colon obstruction?

Diarrhea is resolved

A nurse is caring for a patient with pseudomembranous colitis. The physician has prescribed loperamide HCl to the patient. How does the nurse know that the drug has been effective?

Closely monitor the patient for confusion and dizziness.

A nurse is caring for an elderly patient who has been administered cimetidine. Which of the following interventions should the nurse perform?

Severe blood- and mucus-filled diarrhea

A patient has been diagnosed with ulcerative colitis. The physician has prescribed sulfasalazine to the patient. What effect associated with the disorder should the nurse monitor for in the patient?

Patients with gallstones

A patient is taking ginger medicinally for motion sickness. For which of the following categories of patients should ginger be used with caution?

Explain that the drug may change the color of the stool.

A patient with GI upset is prescribed an antacid for outpatient use. Which of the following instructions should the nurse provide the patient and family members?

Pharyngitis

A patient with atherosclerosis is prescribed rosuvastatin by a physician. What adverse reactions should the nurse monitor in the patient?

Take the drug with his evening meal.

A patient with hypercholesterolemia is prescribed lovastatin. What should the nurse recommend to the patient for the self-administration of the drug?

Patients with primary biliary cirrhosis

A patient with very high serum triglyceride levels is prescribed the fibric acid derivative clofibrate. In which of the following categories of patients is the use of clofibrate contraindicated?

Avoid OTC drugs for appetite suppression

A physician has prescribed a bumetanide drug to a patient with renal insufficiency. The patient has high blood pressure. Which of the following instructions should the nurse include in the teaching plan for this patient?

Increased blood glucose levels

A physician has prescribed a loop diuretic for a patient with hypertension. The patient also has diabetes mellitus. What condition should the nurse monitor for in this patient after administering the prescribed drug?

Avoid milk before taking the drug

A physician has prescribed bisacodyl to a patient with constipation. The patient complains of epigastric pain and a burning sensation after taking the drug. Which of the following instructions should the nurse provide to the patient?

Tachycardia

A physician prescribes diuretic therapy to a patient with nephrotic syndrome. The patient experiences hyponatremia as an effect of the therapy. Which of the following symptoms of hyponatremia should the nurse monitor for in the patient?

Patients with hyperkalemia

A physician prescribes spironolactone, a potassium-sparing diuretic, for a patient with cirrhosis. For which of the following categories of patients is the use of potassium-sparing diuretics contraindicated?

Increased risk of bleeding

The nurse is caring for a patient who is prescribed mesalamine for proctitis. The patient is also taking warfain. Which of the following interactions should the nurse monitor the patient for when he is administered mesalamine with warfarin?